...Jon B. Christianson This paper discusses the regulation of long-term care in the United States. First, it addresses alternate models of regulation that potentially could explain both enforcer and provider actions. Then it describes in more detail the incentives for enforcement of regulatory...

... study. First, since Medicaid has the potential to improve health and has been proven to improve stability and reduce financial strain for beneficiaries even in the short term (Baicker et al. 2013 ), it is reasonable to expect that voter turnout might increase in states that implemented the Medicaid...

...Charles Brecher; James Knickman This article describes current problems in the financing and delivery of long-term care, and assesses several proposals for reform. Proposed financing changes are found to differ in their objectives, with some reforms seeking to shift from greater to lesser...

...Robert L. Kane; Rosalie A. Kane; Richard C. Ladd; Wendy Nielsen Veazie Pressures to turn over responsibility for long-term care to the states will exacerbate the already sizable difference in such efforts. This article describes the nature of the interstate variation in the types and amounts of...

...Frank G. Williams; David Phoenix; Bradford L. Kirkman-Liff Arizona is adding long-term care to its prepaid, capitated alternative to Medicaid. This article discusses the potential for this major cost-control experiment. Experience suggests that those able to qualify for long-term care will fare...

...Hirsch S. Ruchlin This study analyzes the failure of current regulatory efforts to elicit an acceptable level of performance in long-term care facilities and proposes a strategy for correcting that failure. Seven factors are identified as being responsible for the failure of current regulatory...

...William G. Weissert Recent expansion of Medicaid coverage to home-and community-based long-term care moves that payment program away from its traditional institutional bias. But tension over the appropriate role of home care and fears of budget-busting have caused the current administration to set...

... Certification System files, and the American Hospital Association Survey. Separate Tobit models are estimated for each DRG. The analysis shows that transfers to home health care are heavily influenced by the hospital's long-term care arrangement and by conditions in local nursing home and home health care...

...David Falcone; Robert Broyles Race continues to impede access to health services, for acute as well as long-term care. Whites, for example, use disproportionately more days of nursing home care than do nonwhites, not simply because they are more likely to be private payers and, therefore, are...

...Joshua M. Wiener; Rose M. Rubin This study analyzes the potential effect on the Medicaid program of private sector financing mechanisms for long-term care. The data are from the Brookings-ICF Long-Term Care Financing Model and include projections over the next thirty years. While private financing...